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HomeMy WebLinkAbout14827 (20) _ _ . ._. , ___._ _ . .. . .... ........ . _�_. .__ , . . . __ % j } �-� . J,� � CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 PRE$S �'�'�. BUILDING PERMIT APPLICATION � , ' FIRMLY y, JOBSITE � APPLICATIO PERMff �'r L+Z� �P/C /� , o ADDRESS e n• OATE NUMBER -1 �.� V � ISSUE � TYPE' OCC APN OT TRACT DATE Y ��3"bd CONST. "'� GROl1P '�^2 °C OWNER O "' ADD SS ZONING SETBACKS � � CIN � r ZIP TEL. - REAR ' ; ' '. RW p APPUCANT T SIDEJSIDE STREEf RW ❑ � CONTRAC OR SIDE - p ADDRES g CITY�L v 1 tJ ZIP I�j_ TEL � ' PROPOSED USE o ARCH/ENG/ . - � DESIGNER NO.DWEL N . NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � �n DESCRIPTION SQ:FL FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFRlADDlREM O . 8 I NEREBY AFFlM UNDER GENKtt OF GEIWRY TMAi 1 AM EXEMPT FR04 THE CONTMCi01i5 LF Gef9A0/CBryoR CENSEtAWFORTNEfOILCM/NdREAuON(SEG70�t.6BU5P1ESSANDPROFE5510N5CODEANVCITYOR (n C.) 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B.i P.0 FOi1 TiIS REASON q C�l. �L ' v 3 " "-- o�h ONTlER � � W F UCENSED CONTRACTORS DECLARATION W � . . � IHEIIFBVAFFIRYUNOERPENALTYOFiE0.UMT/UTIMILICENSEDUNDERCipV1510NSOFCHAOTER�� Z � . � �(COMMENCN�WfT}ISECTIDN1o0o)OFDMSqNJOFTHEBUS�NE55AND7ROFES5tON5CO0E.AND �� W IICEHSE IS N GULL FORCE M7�FFFECT. � . ' � , �^ O O� O 1 F.. UCENSE CLASS�� ~� UC.NO. � ' � �i � p O � ~ DATE .. COlJTMCTOR � � 1 � � WORKERS'COMPENSATION DECLARATION � � � � � �IHEREBYAFFIRMUNOERPENALTYOFVERIURYONEOFTHEFOIIOWINQDECUMTICNS � Z � � � O _INAVEMIDYALLMIUMANACEHTIFlCATEOFCONSEMTOSELHNSUREfORWoiUCERS' ' . _ � �- _ ' , • , � � . � � , � � Z COMPENSATION.ASOROVI�EDBVSECTION�7ooOFTHELABORCODE.FONtHEDERFORIAANCE U 4 OFTHEWORKFORWHIpIT/pSVERMITI5155UED. �� . �, � . � � � �IHAVE/NDWILLWPRAINWOANERS'COMPENSATIONINSUMNCE.I4SRE�NRE�BYSECfION � � -- � � ���}}J O dO ]To00FTHEUBORCOOE,iORiHEPERFORMANCEOFTHEWORKFORWHIpITHlSGERMITIS �7 �j 7 ISSUED.W WO COUP NSATqN l IIRANCE CMiUE AND VoIICY M1ueEq IIRE: CONSTAUCTION 1 L�� \ ' � GRRIER � P �n S 1 PLAN REVIEW ��� � _ � � ooucv r+uuaEA �, , ELECTqIC ��T� �y e (na55Lt'na+NE�NQfeEO�bs1E7IDCfnEFEaMisFOfiv+ElAl�OfiEDo0lv3�SR�WIof+LEss1 PLUMBING �� ��� O , �c — Z ICEl171LY7W�TWTHEPEHFORWWCEOFTHEWORKfOFWHICHiHISPEfUARl5155UED.1 MECHAN�CAL � (,'} 51ULLLNOTE4PlOYANYPERSONNNIYMANNER50A5T08ECOMESUBJECTTOTXE � YVORKERS'GOMPENSATION UWS OF CALIFpqNIA,M1�AOqEE T1Ui 1F I SMOULD BECOME INSPECTION FEE �P R 1 `� _ S SUBJECTTOTHEYJOqKERS'COMPENSA710NPROVISiONSOFSECTION �ooOFTHEUBOR � �r �� A l�, O �� �Fortn�vnrHcaav�rvn��l��� ISSUANCE e�$fs�i t dV • 1 Q p DA1E: A7VLICAM: SMIP . � � ENERGY P!C BLTILD WARNINO:FAhURE TO SECURE WD(iKEitS'Cd.�PENSATION COVEqAOE IS UNUVlR1L,AND SF/ALLBE � SUBJECTANEMPLOYERTOCRIMINALPENALTESNiDdVIIFNESUPi00NEMUNDREO71qU5AN0 ENERGYPERM�T � � DOLURS(f1Uo.000�.W�DDITIONT07HECOSTOFCOMPENSATIDN,OAMAGEJASPflOVI�EDFORIN . J bECT%7ND70lOFTHEUBORLOOE,M7TEREST,ANDATTORNEY'SiEES. RETENTIONFEE; � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: ' 0 - � IHEREBYAFFlRMIMOERPENALTYOFPEMIRY7MAiTHEREISIICONSTRULTIONLENDINGACENGY � � FOR 1HE VEHFOP4MICE OF THE Wd7K FOR NMICNTNIS VERY�T IS ISSUE�(SEG]OYl,CN.G). � ' � LEN�ERSNAME . � � IENDER'SADDRE55 � TOTAL FEES �� �, � � � 1 CERiIFY TNAT 1 HAVE READ THIS A7PLICATION AND STATE THAT iHE AHOVE NFOHAIAi1ON IS COHR[CT. W I AGREE TO COIAVLV M7TM ALL CfT`/AND COUNTY ORDINANCES AND STIUE UN5 REUTINO T09URDiNO ' ' ' � CONSTRUCf10N,ANDNEREBYAUTNORIZEREPRESEMATNF50FT1U5COUNTYTOEHTFRUPONTHE � 5�' neovE.MErrtar+Eo vnoaERrr ca�nuvEcria+ruaroses. COMMENTS G � i J � V W EE NIUAE RI - — r� � Cn t v y BIONAN OFPERNITf DATE �r ei � . . . RECPT.N0.,�5�1 PAID B`rGK� I��U VALIDATION ' WHRE--Oapertment Copy,YELLOW—ffnence Copy,PINK—Assessor Copy.GOLDENROD-file Copy,GREEN—Appicant'a Coq - � --� - . . . . , . i. . . . � ... , . . . .. �r. .. , . •1f , -��. ..�. , .� ,1., ..,i . , . ' � ..�, "1�- , ., , .'1' , .,� .� � , � ' �, � �'_ CITY OF DIAMOND BAR � , , � 1 � ` � � ' ' � ' INSPECTION RECORD� _ � � . - , . . . . - , , . � � i • - � � , . � . �SETBACK � � �, ',. ; ` � _ � FLOORJ015T .(P_1 1 � `;�'�, '��;1-i -';• . - FTGS/FORMS/STEEL � � 13 � FHA REQMTS - ELECTRIC GROUND-" � - -- UNDER FLOOR DUCT �• i ! % GROUND PLUMBING � � UNDER FLOOR CO�IDUIT�. : '�; ;,_:���� ; ►'�-� • SLAB GRADE - - FIREPLAG��OUNDATION = ' � �'- '� ...'`�J ' , TEMP POWER -� � - � FIREPLACE�BON6BEANI� - '` --'`.'_ WATER SERVICE MID HT.BOND BEAM ` � - -' t %=-=r -'`'�'' ROOF SHEATHI�IG-'•� 1'� - t � _'1�,l�f!� '.� `:. � 8 FT.BOND BEAM .'. V� . .�,:.-__ . . _ . �' FRAMINGNENTILIATION ?�: . ; : '���.=;�_. FINAL BQND BEAM � ROOF COVER PRE-GRADING ROUGH HEATING - - BENCHING ROt1GH ELECTRIC - -- - � - ROUGH GRADING ROUGH PLUMBING �- � FINISH GRADING , SHOWER�TUB TEST - FOOL ELECTRIC :ZY. .,. EXT.LATH/SIDING ' - POOL FENCING � �j WALL INSULATION POOL FINAL a� tj CEILING INSULATION OFF SITE IMPS. . DRYWALL NAIUNG DEDICATIONS , SEWER FINAL ENG. SEPTIC TANK . : .. . ', i LANDSCAPE/IRRIG. ' SEEP PIT/LL. - . ON SITE IMPS. GA�AIR TEST - ' !3 Ob FINAL ZONING FINAL'CONST. � ' " ' FIRE DEPT. FINAL FINAL HEATING - - HEALTH DEPT. FINAL F1NAL ELECTRIC - DEV. FEES PAID � FINAL PLUMBING - � ! , � ENERGY :S�' '� ' ,. r �'���Gk .1C,. 8-ifl-CU , , � 1 , .� - _ � ' ' % .�,��.:.��_ :�- ` — _ . _ , . __ __ COMMENTS - : � ,� -. � - ��QD N'�ZsDb� No ��S �'Co - - -- � ., . . i� _ _ � _ ' : ' ,�� v ' ; � . t . , , � !ti _ '." ) '),", ,. _. �' " �y � • �\i. ; }: ' �..c. . . i .. . r " �t_ .-� - . � . - . — r^ U;, :� '• r t%c) , , • � �, ��.� : ' ��'.:�Q'�''.�-�' �_ -• 'i;� �'+�; ' ' i- - � ;�. _ -- , ,�, .:�_ �, , ;r:�, ... ` � — ' — -- ... `_ SEPTIC.TANK SIZE , � SEEP PIT/U SIZE , '� . �, . _. ! . � l. � . . . — � ,�, ' .� , , � ' ', t� j,/ • , �. i �i J_:; 1 Ji 1' �1'•..1�-- � ( � i 1 i r r � � � -'�� ✓, � - � . _ � � _J .,'� ' ' • : .. . � � t . -